NPIMap

Organization Active NPI

Cora Health Services, Inc

Doing business as CORA Physical Therapy - Eagles Park

  • Rehabilitation Clinic/Center
  • St Petersburg, FL
National Provider Identifier
1629936323
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
CORA HEALTH SERVICES, INC
Doing business as
CORA Physical Therapy - Eagles Park
Practice address
5535 Park St N
St Petersburg, FL 33709-6309
Phone
(727) 209-0579
Fax
(727) 209-0580
NPI assigned
Jan 12, 2026
Last updated
Jan 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Andrea K Beach
Title
Payer Relations
Phone
(419) 221-6710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

5535 Park St N
St Petersburg, FL 33709-6309

Mailing address

3745 Shawnee Rd Ste 103
Lima, OH 45806-1660
Phone (786) 204-1050

Other names 1

  • CORA Physical Therapy - Eagles Park Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030923000034 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 1759290992 12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Largo, FL; Valrico, FL; St Petersburg, FL; Seminole, FL; Seffner, FL; Clearwater, FL
O20190716000960 FL Part B Supplier - Clinic/Group Practice 1759290992 Receives reassigned benefits from 28 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Winter Garden, FL; The Villages, FL; St Petersburg, FL; Palm Springs, FL; Ocala, FL; Orlando, FL; Belleview, FL; Boca Raton, FL…

Other NPIs on the same Medicare enrollment 29

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 29

National Provider Directory

National Provider Directory
Tax ID family
Coral Heath Services Inc119 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

5535 Park St N
St Petersburg, FL 33709
Phone (727) 209-0579

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1629936323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 SHAWNEE RD STE 103",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458061660",
            "telephone_number": "786-204-1050",
            "fax_number": "567-301-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 PARK ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337096309",
            "telephone_number": "727-209-0579",
            "fax_number": "727-209-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORA HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-12",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PAYER RELATIONS",
        "authorized_official_telephone_number": "419-221-6710"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORA Physical Therapy - Eagles Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.